摘要
目的探讨腹腔镜技术在创伤性急腹症诊断与治疗中的应用。方法对我院自2002年6月至2006年6月期间应用腹腔镜技术进行诊治的45例创伤性急腹症病例的临床资料进行回顾性分析。结果45例均在腹腔镜下得到明确诊断,镜下明确诊断率为100%;34例在腹腔镜下直接或辅助下完成治疗,5例无需治疗,6例中转开腹,开腹率为13.34%;术后未发生与腹腔镜手术相关的并发症和死亡病例。结论腹腔镜技术诊治创伤性急腹症病人是安全、可行的,并具有确诊率高、创伤性小等优点,可避免不必要的开腹手术。
Objective To study the value of laparoscopy in diagnosis and treatment of the traumatic acute abdomen. Methods From July 2002 to July 2006,45 cases with traumatic acute abdomen used laparoscopy for diagnosis and treatment were analyzed retrospectively. Results The confirmed diagnosis was got under laparoscope in all cases.The accurate diagnostic rate was 100%. 34 of 45 cases were treated by laparoscope directly or indirectly.5 cases were not needed to treatment.6 cases were transferred to open abdominal operation, and open abdominal rate was 13.3%. No complications and no perioperative death were found. Conclusion Laparoscopic technique is a safe and feasible method for the diagnosis and treatment of traumatic acute abdomen.It has a high confirmed diagnosis rate and less trauma etc advantages.The unnecessary open abdominal surgery would be avoided.
出处
《岭南现代临床外科》
2007年第1期10-11,14,共3页
Lingnan Modern Clinics in Surgery
关键词
腹腔镜
创伤性急腹症
诊断
治疗
Laparoscope
Traumatic acute abdomen
Dignosis
Treatment
